Provider Demographics
NPI:1881649671
Name:JONES EYE ASSOCIATES, PA
Entity Type:Organization
Organization Name:JONES EYE ASSOCIATES, PA
Other - Org Name:NEWPORT EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-355-3333
Mailing Address - Street 1:419 MOOSEHEAD TRL
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04953-4054
Mailing Address - Country:US
Mailing Address - Phone:207-355-3333
Mailing Address - Fax:207-368-2002
Practice Address - Street 1:419 MOOSEHEAD TRL
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:ME
Practice Address - Zip Code:04953-4054
Practice Address - Country:US
Practice Address - Phone:207-355-3333
Practice Address - Fax:207-368-2002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT867152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431998600Medicaid
ME431998601Medicaid
ME431998602Medicaid
ME431998600Medicaid
MEME1613Medicare PIN
ME431998601Medicaid